Académique Documents
Professionnel Documents
Culture Documents
Area
Settled
1. 2. 3. 4. 5.
6. 7.
District / Domicile Permanent Address: H.No._____________ Street / Mohallah _________________________ Village ____________________________ Union Council __________________ Tehsil _______________________ District __________________________ Phone # with Code ____________________________ Mobile # __________________________________________
8.
_________________________________________________________________________________________________
9.
Degree / Certificate
Note:- Attach Service Certificate duly signed by the Head of the Employer Institution. 11. Disability
Yes No
Note:- Attach Disability Certificate duly signed by the Medical Superintendent Concerned.
12.
Marital Status
Married
Un-Married
Widow
Page |2
Certificate
1. I do hereby certify that the above information / contents are correct. I shall be liable to penalty under CrPC for any wrong information/fake document(s) produced by me / or attached herewith. 2. I have read all the terms & conditions and will abide by all these and any other issued by the Higher Education Department, Govt. of Khyber Pakhtunkhwa.
Signature:____________________________________________
Date:________________________________________________
NOTE: Rs. 300/- must be deposited in any branch of HBL on the prescribed online deposit slip given on page 3 of this form and Original Receipt (ETEA copy) should be attached with the Application Form and should be submitted to the concerned District Head Quarter College / Coordinating Colleges of Higher Education Department Govt. of Khyber Pakhtunkhwa. Application Forms without Original Bank deposit slip (ETEA copy) shall not be entertained. No Application Form will be accepted at ETEA office.
Page |3
Date: ____/_____/_______
Date: ____/_____/_______
HABIB BANK
Ltd.
HABIB BANK
Ltd.
1. Bank Stamp is required on the Deposit slip. 2. Please Send the Original Deposit slip along Application Form to the ETEA Office. (Application form without original Deposit slip will not be entertained.) 3. Freedom Account. No Service Charges
1. Please Stamp both copies of deposit slip. 2. The Bank Must Return ETEA COPY to the Candidate 3. Deposit Slip will not accepted without Candidate CNIC/B Form No. 4. Freedom Account. No Service Charges
Applicants Name: Fathers Name: CNIC No/B-Form No: Amount (In Rs): Amount (In Words):
Applicants Name: Fathers Name: CNIC No/B-Form No: Amount (In Rs): Amount (In Words):
Applicant Signature
Cashier
Officer
Applicant Signature
Cashier
Officer